Full Name :


Company :

Street Address :

City/State/Zip :

Phone Number :

Contact Person :

Contact email address :

Website that will host Affiliate Site :


Will this be your first Affiliate Program to join?   Yes      No


If not, how many Affiliate Programs does your site host?  1-4    4-9    10 or more


What kind of internet marketer do you consider yourself to be ?

Beginner      Fair      Good      Excellent     Master


Will the applicant be the only person marketing this Affiliate Program?  Yes      No


If not, please list the names of others who will be marketing the 2invent.com Affiliate Program on your site


Are you able to accept credit cards on-line?  Yes    No (if not, we will help you)


Have you read, understand, and agree to the 2invent.com Affiliate Program Agreement?


Yes    No (if not, please do this first, thenů come back and submit this application)



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